Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $60.26 / $181.97	Facility	$54.95	$60.26	$181.97
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $85.11 / $186.21	Professional	$56.23	$85.11	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $91.20 / $144.54	Professional	$72.44	$91.20	$144.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $74.13 / $81.28	Professional	$63.10	$74.13	$81.28
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility	$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $112.20 / $147.91	Professional	$81.28	$112.20	$147.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $89.13 / $138.04	Professional	$69.18	$89.13	$138.04
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Facility	$42.66	$42.66	$42.66
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $104.71 / $147.91	Professional	$42.66	$104.71	$147.91
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $75.86	Facility	$63.10	$63.10	$75.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $95.50 / $141.25	Professional	$67.61	$95.50	$141.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility	$79.43	$79.43	$79.43
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $87.10 / $131.83	Professional	$77.62	$87.10	$131.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $75.86 / $85.11	Professional	$63.10	$75.86	$85.11
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $79.43	Facility	$54.95	$56.23	$79.43
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $81.28 / $147.91	Professional	$56.23	$81.28	$147.91
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $95.50	Professional	$81.28	$81.28	$95.50
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $131.83 / $154.88	Professional	$81.28	$131.83	$154.88
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $79.43	Facility	$32.36	$32.36	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $64.57 / $97.72	Professional	$32.36	$64.57	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $83.18 / $151.36	Professional	$58.88	$83.18	$151.36

Pennsylvania rates for HCPCS 99238